In fact, this kind of situation is called "summer" or "bitter summer" by Chinese medicine.
According to the medical records of the motherland, summer onset refers to the syndrome of listlessness, lack of appetite, dizziness and even long-term low fever every summer. This disease is mostly caused by feeling the heat of summer, resulting in confusion of the thermoregulatory center and low gastrointestinal digestive function. Damp-heat is the most likely to block qi movement, so it can be seen that the chest and hypochondrium are full, the abdomen is full, and the mood is depressed.
Among them, damp-heat in the liver and gallbladder is a common cause of dizziness and other diseases.
Dizziness belongs to the category of "dizziness" in traditional Chinese medicine. As early as Huangdi Neijing, the relationship between the liver and vertigo was emphasized. In Su Wen Zhi Zhen Da Lun, it was said that "all winds fall dizzy, all belong to the liver", and it was pointed out that the onset of dizziness is most closely related to the liver, and that "the wood is too weak to faint, the clouds are disturbed, the wind is even strong, and there is no wood in the house." The liver belongs to wood, and the wood here is depressed, which means that the liver qi is depressed. Therefore, liver dysfunction is an important cause of dizziness, dizziness and other diseases.
However, the weather is hot in summer, and it is rainy. In the natural environment, dampness and heat are abundant. Chinese medicine believes that dampness belongs to yin, heat belongs to yang, one is yin and the other is yang, and the two are combined to form damp-heat and stagnation. Both of them are common pathogenic factors. Modern physicians also believe that patients with dampness and heat are often pathogenic.
In most patients with vertigo, due to exogenous pathogenic damp-heat, coupled with people's preference for cold drinks and food in summer, it is easy to damage the spleen and stomach, resulting in damp-heat, which is accumulated in the liver and gallbladder, and goes against the liver-qi, resulting in the influence of clearing the brain and other orifices, so dizziness, heavy head, red eyes, more gum, bitter and sticky mouth, or accompanied by nausea, vomiting, short and red urine, sticky stool and other symptoms.
Because "seeing the disease of the liver, knowing that the liver spreads to the spleen", liver diseases often involve the spleen. For example, due to heavy work pressure, modern people often fall into a state of anxiety, tension, depression and other emotional discomfort, which leads to liver depression and spleen disorders, thus causing various spleen and stomach diseases. Therefore, patients with damp-heat in the liver and gallbladder often have symptoms such as fatigue, loss of appetite, abdominal distension, etc. Different from damp-heat in spleen and stomach, damp-heat in liver and gallbladder is often accompanied by hypochondriac pain, bitter taste and other hepatobiliary symptoms.
This is also a common manifestation of many patients with hepatobiliary damp-heat. Recently, many patients with dizziness as their chief complaint belong to this situation. A 65-year-old housewife, Ms. Zhang, suffered from recurrent dizziness 1 year. Before that, carotid color Doppler ultrasound and other tests showed that dizziness had nothing to do with neck activity, and there were no obvious abnormalities in liver function and blood routine tests. Half a month ago, I had a quarrel with my grandson, and my dizziness recurred. After rest, the relief was not obvious, and the frequency and severity of the attack increased. I usually had a general appetite and a thin body, and my symptoms were mental fatigue, sallow complexion, dry mouth and bitter taste, thirst, poor sleep, yellow urine and sticky stool. Combined with its tongue diagnosis (red tip of tongue, yellow greasy tongue coating), this is a syndrome of damp-heat in liver and gallbladder and spleen and stomach deficiency.
Therefore, for this kind of disease, while clearing away dampness and heat in the liver and gallbladder, we should also pay attention to strengthening the spleen and regulating the stomach, combined with specific symptoms, tongue diagnosis and other evidence-based drugs. As Wu Jutong, a famous physician, said in Treatise on Epidemic Febrile Diseases: "Only clearing away heat and getting damp will not retreat, while getting rid of dampness and getting hotter." When clearing away damp heat, we should distinguish the source of damp heat and treat it in a holistic way, so as to achieve a permanent cure.
Danzhi Xiaoyao Powder is a commonly used prescription to treat this kind of disease. This prescription comes from the Digest of Internal Medicine and is composed of Cortex Moutan and Fructus Gardeniae on the basis of Xiaoyao Powder. Has the effects of nourishing blood, invigorating spleen, soothing liver and clearing heat.
Ms. Chen in the above example treated with this prescription: Cortex Moutan, Lily, Bupleurum chinense, Angelica sinensis, Poria, bran fried atractylodes, Radix Paeoniae Alba, Rhizoma Chuanxiong, Radix Angelicae Dahuricae, Gypsum Fibrosum, dried Dendrobium, Glycyrrhiza uralensis and vinegar corydalis tuber. After conditioning for 7 days, her dizziness symptoms and attack frequency were obviously alleviated, her mouth was slightly dry, her appetite and sleep were improved, her urine was normal, her stool was gradually formed, and occasionally her left lower limb cramped. The edge of the tongue is red and the coating is thin and white. Continue to insist on conditioning 1 month, dizziness did not recur for half a month after stopping taking medicine.
In fact, the reason why this prescription has a good effect on this disease lies in that it mainly clears the liver and gallbladder, supplemented by invigorating the spleen and qi, relaxing the qi, and eliminating damp heat by itself, so the liver and wood can't take advantage of the soil, so dizziness and dry mouth disappear. When qi and blood are supplemented, the spleen and stomach can be supplemented, and the muscles of the limbs can be nourished, the left lower limb cramps will improve. Prescription and medication complement each other, regulating qi activity, so it is effective.
It should be noted that although damp-heat in the liver and gallbladder can lead to dizziness, the cause of dizziness in summer is not only damp-heat, but also may be induced by deficiency of qi and blood or other basic diseases. Therefore, if you feel unwell, dizzy and have a headache, don't take the medicine yourself because it is damp-heat. You must consult a professional doctor in time and adjust it according to syndrome differentiation.
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